CT abdomen and pelvis with contrast at Cogdell Memorial Hospital. CPT 74177.
What Cogdell Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$2,375cash price (self-pay)
$2,423list price
$1,164–$2,223range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $1,187 |
| Humana | Medicare Advantage | $1,187 |
| WellMed | Medicare Advantage | $1,187 |
| Blue Cross Blue Shield of Texas | Medicare Advantage | $1,199 |
| Cigna | Commercial | $1,406 |
| Blue Cross Blue Shield of Texas | HMO | $1,575 |
| Blue Cross Blue Shield of Texas | PPO | $1,575 |
| FirstCare | Baylor Scott Health Plan | $1,575 |
| Aetna | Commercial | $2,060 |
| FirstCare | Commercial | $2,181 |
| United Healthcare | Commercial | $2,181 |
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